Dec 082015
 

Tip from a student on NYSHIP!:

Starting October 1st, there was a change in the billing codes providers have to use when they note a diagnosis to the insurance company; WHO has updated from the 9th edition of the International Statistical Classification of Diseases and Related Health Problems (ICD-9) to the 10th edition (ICD-10). For example, if you were diagnosed with ADHD, predominantly inattentive type,  the code for it under ICD-9 would be 314.00; however, under ICD-10, the code would be F90.0, and that’s the billing code your provider would now use with insurance companies.

That means that if you or your provider put down an ICD-9 code on a claim, the claim will not be processed because the code will no longer be “compliant”; you may have to resubmit the claim, and there might be some delays in the processing of reimbursements for October bills. In fact, the student who alerted me to this shift found out about it when ValueOptions denied her claim because the provider wrote in an ICD-9 code rather than an ICD-10 one.

Below are reference websites to search for the ICD-10 code(s) that you need. The second site also includes a converter so you can convert the billing code from ICD9 to the billing code for IC-10.

https://www.cms.gov/medicare-coverage-database/staticpages/icd-10-code-lookup.aspx
http://www.icd10data.com/

 

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